| NPI | 1518285550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: NY 333193) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MD D0081943) |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MD D0081943) | |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2025-03-17 |